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General NPI Number Information
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NPI Number | 1275588758
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Entity Type | Individual
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Provider Name | LISA GOLDSTEIN C.N.M.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 01/07/2008
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Provider Practice Location Address
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Address Line | 451 WID SMITH RD
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City | BURNSVILLE
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State | NC
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Zip | 28714-7644
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Country | US
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Telephone | 828-678-9797
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Fax | 828-678-9799
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Provider Business Mailing Address
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Address Line | 239 GRAVY HILL LN
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City | BURNSVILLE
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State | NC
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Zip | 28714-7471
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Country | US
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Telephone | 828-678-9797
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Fax | 828-678-9799
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 211
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License Number State | NC
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